| Evan J Ordahl, PA-C | |
|
1101 9th St N, Virginia, MN 55792-2329 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Evan J Ordahl |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1101 9th St N, Virginia, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518642206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15298 (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Virginia | Virginia, MN | Hospital |
| Ely - Bloomenson Community Hospital | Ely, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 1135 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan J Ordahl, PA-C 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Evan J Ordahl, PA-C 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 786-8364 |
Gidget Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |
Nancy Lee Magnine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |
Zachary B Horoshak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Virginia, MN 55792 Phone: 218-741-3340 |
Alexis White, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-786-8364 |
Lisa Ann Huyck, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 Fax: 218-741-7892 |
Dr. Michael Asamoah Nkrumah, PHARM D, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-305-0000 Fax: 218-749-7844 |
Margaret Waechter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |